“A gay man and a doctor are jt like, a recipe for stctn”: How racism and homonegativy healthre settgs fluence PrEP uptake among young Black MSM - PMC

Contents:

• 139 DOCTOR AND GAY PATIENT STOCK VIOS, 4K FOOTAGE, & VIO CLIPS
• GAY DOCTOR PORN VIOS
• PHYSICIAN AND GAY: AM I SAFE AT WORK? : AMIC MEDICE
• “A GAY MAN AND A DOCTOR ARE JT LIKE, A RECIPE FOR STCTN”: HOW RACISM AND HOMONEGATIVY HEALTHRE SETTGS FLUENCE PREP UPTAKE AMONG YOUNG BLACK MSM
• “THE DOCTOR SAID I DIDN’T LOOK GAY”: YOUNG ADULTS’ EXPERIENC OF DISCLOSURE AND NON-DISCLOSURE OF LGBTQ INTY TO HEALTHRE PROVIRS
• MEDIL SCHOOLS NEGLECT GAY AND GENR ISSU

139 DOCTOR AND GAY PATIENT STOCK VIOS, 4K FOOTAGE, & VIO CLIPS

If you are lbian, gay, bisexual, transgenr, queer, and/or intify as a sexual and/or genr mory and are lookg for LGBTQ+ affirmg doctors, physicians, clicians, and healthre provirs, you have e to the right place. A gay doctor wh the body of a Greek god relled the moment he stripped off his special Mormon unrwear and walked away om the church a movg Instagram post. While I was examg a young child, her mother said she was glad she got a “ual straight” doctor for her child, rather than the other (aka homosexual) kd about whose petence she was not sure.

As a gay physician, I was torn between my duty toward my patient and my sire for personal tegry. Homophobia the workplace n seem almost too strong a label to addrs what may be perceived as a trivial cint. Often perceived as too signifint to addrs, the cints persist the psyche of those of who intify as lbian, gay, bisexual, transgenr, or queer (LGBTQ).

GAY DOCTOR PORN VIOS

Simulated enunters may be pecially helpful illtratg s of “sual” homophobia which n be difficult to addrs or even to expla. Lbian, gay, bisexual, and transgenr (LGBT) physicians’ experienc the workplace. J Homosex.

On beg gay medice. Should a gay physician a small muny disclose his sexual orientatn?

Published fal eded form as:PMCID: PMC6571052NIHMSID: NIHMS1516922AbstractYoung, Black, gay bisexual or other MSM are signifintly ls likely to e PrEP than their Whe unterparts. We ed a team-based approach to thematic ntent analysis to unrstand how racism and homonegativy affected healthre accs and experienc. Keywords: Medil mistst, racial dispari, PrEP dispari, young adults, qualative, racism, homonegativyHIV pre-exposure prophylaxis (PrEP) is a promisg ponent of HIV preventn, particularly for gay, bisexual, and other men who have sex wh men (MSM), monstratg high efficy among adherent ers1, 2.

PHYSICIAN AND GAY: AM I SAFE AT WORK? : AMIC MEDICE

Incln creria required that participants intify as Black or Ain Amerin, were assigned male genr at birth, intified as gay, bisexual, or other men who have sex wh men, were between the ag of 16 and 25, and reported an HIV-negative or unknown serostat.

“A GAY MAN AND A DOCTOR ARE JT LIKE, A RECIPE FOR STCTN”: HOW RACISM AND HOMONEGATIVY HEALTHRE SETTGS FLUENCE PREP UPTAKE AMONG YOUNG BLACK MSM

Foc groups were led by two rearch associate who intify as a Black gay men.

We explicly asked about experienc of discrimatn, racism, and homonegativy om health re provirs and sought to unrstand how the factors may affect PrEP uptake among young Black analysisFoc groups were d-rerd, transcribed verbatim, and d g MAXQDA qualative analysis software.

The fal book clud barriers to PrEP (cludg stigma, lack of support, and perceptn of need), benefs of PrEP, medil mistst, discrimatn healthre settgs, PrEP stigma, homonegativy (cludg ‘down low’, homonegativy wh the Black muny, ternalized homonegativy, and anticipated homonegativy), and racism (cludg differenc healthre treatment by race and racial discrimatn). Seventy-five percent (n=33) intified as gay; others intified as bisexual (n=8), pansexual (n=1), no label (n=1), and straight (n=1). Analys revealed the ntued effects of racial and enomic disadvantage on health re accs and the ways which racism and homonegativy fluenced young men’s fort discsg sexual behavr wh physicians.

“THE DOCTOR SAID I DIDN’T LOOK GAY”: YOUNG ADULTS’ EXPERIENC OF DISCLOSURE AND NON-DISCLOSURE OF LGBTQ INTY TO HEALTHRE PROVIRS

[Foc group six]Although this excerpt they were discsg healthre more generally, the perceptn of receivg ferr medil treatment n ntribute to dividuals’ reluctance to start discsg perceived substandard re for Black gay men, foc group three participants scribed how racism, homonegativy, discrimatn, and poor medil re had bee expected and accepted as part of their health re. Precedg the followg excerpt om foc group three, several participants had jt shared personal stori of discrimatn and poor treatment:Facilator: Why do we, as a gay Black muny, why do we allow suatns like that to bee a mon thg? Through their own experienc and those of their fay, iends, and muny members, participants uld rell so many experienc of stigma and mistreatment that they had e to expect and accept homonegativy, racism, and discrimatn.

This is not to say they did not intify the jtice this or sire better re, but such experienc had bee so monplace that they were no longer shockg or Black MSM rced to their sexualy by doctorsThe perceived racism participants faced was plited by the tersectn of homonegativy. While the lack of a tsted, regular provir was one factor this, this disfort was also rooted anticipated homonegativy and poor treatment om physicians.

MEDIL SCHOOLS NEGLECT GAY AND GENR ISSU

P1: I don’t want to say ’s all Whe doctors, ‘e I’ve had some good on, but ’s jt that they treat gay men like we nasty… I even asked, “If you don’t wanna do , you n brg a woman nurse here if you want to. It was hemorrhoids, but was jt like, how e they assume that bee I’m gay, I’m jt nasty?

You don’t know the half of until you bee a gay man. P2: Yeah, I jt feel like a gay man and a doctor are jt like, a recipe for stctn. The fear of both race- and sexualy-based discrimatn and prejudice om Whe physicians ntributed to the notn that a gay man and doctor is a “recipe for stctn.

Mistst of physician motiv for wantg to know about sexual behavrs often stemmed om past experienc of discrimatn and homonegativy.